The relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive study
The aim of this study was to evaluate erectile function in patients with panurethral stricture after urethral reconstruction. Totally, 65 patients were enrolled. Different urethral reconstructions were performed according to the details of urethral strictures. The erectile function was evaluated bef...
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Wolters Kluwer Medknow Publications
2015-04-01
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doaj-5293a63163064bc18b4ca3c0dd5cad762020-11-24T23:01:51ZengWolters Kluwer Medknow PublicationsAsian Journal of Andrology1008-682X1745-72622015-04-0117231531810.4103/1008-682X.143312The relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive studyHong Xie Yue-Min Xu Qiang Fu Ying-Long SaYong QiaoThe aim of this study was to evaluate erectile function in patients with panurethral stricture after urethral reconstruction. Totally, 65 patients were enrolled. Different urethral reconstructions were performed according to the details of urethral strictures. The erectile function was evaluated before and after surgery. The length and location of stricture and duration from initial diagnosis to operation were recorded. The International Index of Erectile Function-5 (IIEF-5) scores, the quality of life (QoL) scores and the maximal flow rate were obtained before and 3, 6, and 12 months after surgery. A significant improvement in QoL and maximal flow rate was observed 3, 6, and 12 months after surgery compared with those observed before surgery (P < 0.05). An impairment of erectile function was observed in patients with multi-site stricture 3 months after surgery (P < 0.05). Subsequently, these patients recovered 6 and 12 months after surgery. Three months after surgery, the IIEF-5 scores in patients with anterior urethral stricture were higher than those with multi-site stricture. Similar results were observed 6 and 12 months after surgery. No significant difference in age or duration from initial diagnosis to final operation was observed between patients with erectile dysfunction after surgery and patients with normal erectile function. However, a linear regressive relationship was detected between IIEF-5 scores and location of urethral stricture. Surgical reconstruction for treating panurethral strictures has limited effects on erectile function. The location of the stricture, particularly when extended to posterior urethra, was found to be associated with erectile function after surgery.http://www.ajandrology.com/article.asp?issn=1008-682X;year=2015;volume=17;issue=2;spage=315;epage=318;aulast=Xieerectile dysfunctionpanurethral strictureurethral reconstruction |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hong Xie Yue-Min Xu Qiang Fu Ying-Long Sa Yong Qiao |
spellingShingle |
Hong Xie Yue-Min Xu Qiang Fu Ying-Long Sa Yong Qiao The relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive study Asian Journal of Andrology erectile dysfunction panurethral stricture urethral reconstruction |
author_facet |
Hong Xie Yue-Min Xu Qiang Fu Ying-Long Sa Yong Qiao |
author_sort |
Hong Xie |
title |
The relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive study |
title_short |
The relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive study |
title_full |
The relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive study |
title_fullStr |
The relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive study |
title_full_unstemmed |
The relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive study |
title_sort |
relationship between erectile function and complex panurethral stricture: a preliminary investigative and descriptive study |
publisher |
Wolters Kluwer Medknow Publications |
series |
Asian Journal of Andrology |
issn |
1008-682X 1745-7262 |
publishDate |
2015-04-01 |
description |
The aim of this study was to evaluate erectile function in patients with panurethral stricture after urethral reconstruction. Totally, 65 patients were enrolled. Different urethral reconstructions were performed according to the details of urethral strictures. The erectile function was evaluated before and after surgery. The length and location of stricture and duration from initial diagnosis to operation were recorded. The International Index of Erectile Function-5 (IIEF-5) scores, the quality of life (QoL) scores and the maximal flow rate were obtained before and 3, 6, and 12 months after surgery. A significant improvement in QoL and maximal flow rate was observed 3, 6, and 12 months after surgery compared with those observed before surgery (P < 0.05). An impairment of erectile function was observed in patients with multi-site stricture 3 months after surgery (P < 0.05). Subsequently, these patients recovered 6 and 12 months after surgery. Three months after surgery, the IIEF-5 scores in patients with anterior urethral stricture were higher than those with multi-site stricture. Similar results were observed 6 and 12 months after surgery. No significant difference in age or duration from initial diagnosis to final operation was observed between patients with erectile dysfunction after surgery and patients with normal erectile function. However, a linear regressive relationship was detected between IIEF-5 scores and location of urethral stricture. Surgical reconstruction for treating panurethral strictures has limited effects on erectile function. The location of the stricture, particularly when extended to posterior urethra, was found to be associated with erectile function after surgery. |
topic |
erectile dysfunction panurethral stricture urethral reconstruction |
url |
http://www.ajandrology.com/article.asp?issn=1008-682X;year=2015;volume=17;issue=2;spage=315;epage=318;aulast=Xie |
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